ERAS protocols may reduce opioid use and shorten stays for patients undergoing orthognathic surgery
ERAS protocols show promise for orthognathic surgery recovery
This narrative review examines the application of Enhanced Recovery After Surgery (ERAS) protocols in orthognathic surgery. The authors synt…
Enhanced Recovery After Surgery protocols may reduce opioid use and shorten hospital stays for patients undergoing jaw surgery.
Network meta-analysis ranks blood purification strategies for severe acute pancreatitis
Blood Purification May Help Severe Pancreatitis Scores But Not Mortality
A network meta-analysis of 3,707 patients found hemoperfusion plus continuous renal replacement therapy most effective for improving APACHE …
A network meta-analysis of 3,707 patients found specific blood purification methods improved organ function scores but did not lower death r…
Ectopic thyroid carcinoma survival worsens with age over 50 years and chest or abdominal tumor location
Ectopic thyroid cancer survival linked to age and tumor location
This systematic review analyzed 506 patients with ectopic thyroid carcinoma to evaluate treatment strategies. Overall survival was worse for…
A review of 506 patients found older age and chest or abdominal tumors lower survival chances. Surgery type did not significantly change rec…
Ultrasound-facilitated catheter-directed alteplase reduces early recurrence in intermediate-risk pulmonary embolism
New trial shows ultrasound-guided clot-busting drugs help some patients with serious lung clots recover faster and safely
This randomized controlled trial evaluated ultrasound-facilitated, catheter-directed fibrinolysis with alteplase plus anticoagulation versus…
A large study found that using ultrasound to guide clot-busting medicine helped patients with serious lung clots avoid bad outcomes. The tre…
Early Physical Interventions Reduce ICU-Acquired Weakness Risk
Early exercise in the ICU may prevent muscle weakness
A network meta-analysis of 63 RCTs finds that early mobilisation and neuromuscular electrical stimulation significantly reduce ICU-acquired …
Starting physical therapy early in the ICU could cut the risk of severe muscle weakness by a large amount, a new analysis suggests.
High mortality rates observed in community-acquired pneumonia patients within intensive care units across low- and middle-income regions
Community-acquired pneumonia kills one in three ICU patients in low- and middle-income countries
A systematic review and meta-analysis of 48,707 patients reveals stark mortality risks for community-acquired pneumonia in resource-limited …
A massive review shows that one in three patients with pneumonia admitted to ICUs in low- and middle-income countries dies within a month.
Evidence summary on glycemic variability management in ICU patients with cerebral infarction
ICU Guidelines Suggest Managing Blood Sugar Swings During Feeding
This evidence summary synthesizes 18 documents on glycemic variability management during enteral nutrition for adult ICU patients with cereb…
Guidelines advise managing blood sugar swings in ICU patients receiving tube feeding, noting that individual adjustments depend on local res…
Scoping review maps burden of diabetic emergencies in African healthcare settings
Diabetic emergencies in Africa show wide variation in rates and outcomes
This scoping review synthesizes data from 25 studies regarding diabetic emergencies in Africa. The authors report wide variation in reported…
A review of 25 studies finds diabetic emergencies in Africa vary widely, with high death rates and long hospital stays.
Meta-analysis of remimazolam versus propofol in mechanically ventilated ICU patients
New ICU Sedative Cuts Patient Side Effects Without Raising Risks
This meta-analysis of randomized controlled trials compared remimazolam to propofol in mechanically ventilated ICU patients. It found no sig…
A safer sedative option for ICU patients on ventilators reduces dangerous confusion and side effects while matching current treatments in su…
Secondary analysis of 342 sepsis patients reveals limited diagnostic utility for serum biomarkers in invasive candidiasis diagnosis
Doctors tested blood markers to find infection signs in sick patients quickly
Analysis of 342 sepsis patients across German ICUs shows serum antigens rise in infection, but antibodies do not. Single biomarkers offer mo…
A study of 342 sick patients found that one specific blood test works best for spotting dangerous infections. Combining multiple tests did n…
Intraosseous route for out-of-hospital cardiac arrest linked to lower outcomes than intravenous access
Using a bone needle instead of a vein line lowers survival chances for cardiac arrest patients
This systematic review and meta-analysis of 245,132 out-of-hospital cardiac arrest patients found that intraosseous access was associated wi…
A huge study of over 245,000 people found that putting medicine into a bone vein works worse than using a standard arm vein. Doctors should …
Case report details fatal rupture of a solitary fibrous tumor of the pleura in a trauma patient
Healthy Man Dies When Bike Crash Ruptures Hidden Chest Tumor
This case report describes a 37-year-old male who died after blunt chest trauma ruptured a giant solitary fibrous tumor of the pleura. The p…
• Giant silent chest tumors can rupture during minor trauma causing deadly bleeding • Emergency doctors spotting hidden dangers in trauma pa…